Hospital Costs > In Illinois > Pekin Memorial Hospital, procedure costs
Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
---|---|---|---|---|---|---|---|---|
Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
Simple Pneumonia & Pleurisy W Cc | 87 | 116 / 22 | $31.379,80 | 2029 / 86 | $5.446,51 | 377 / 2 | $4.545,72 | 375 / 9 |
Kidney & Urinary Tract Infections W/O Mcc | 61 | 172 / 38 | $20.824,60 | 1658 / 57 | $4.322,05 | 294 / 4 | $3.432,34 | 294 / 11 |
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 60 | 504 / 78 | $39.837,40 | 745 / 11 | $11.484,70 | 381 / 1 | $10.137,30 | 380 / 3 |
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 57 | 218 / 53 | $24.804,60 | 1868 / 79 | $5.396,72 | 467 / 59 | $3.374,40 | 465 / 19 |
Chronic Obstructive Pulmonary Disease W Mcc | 54 | 148 / 36 | $35.347,10 | 1764 / 74 | $6.551,94 | 549 / 3 | $5.814,15 | 548 / 17 |
Heart Failure & Shock W Cc | 47 | 231 / 57 | $27.469,40 | 1829 / 76 | $5.530,06 | 358 / 7 | $4.733,47 | 358 / 11 |
Chronic Obstructive Pulmonary Disease W Cc | 46 | 133 / 39 | $30.296,00 | 1728 / 77 | $5.348,11 | 408 / 7 | $4.438,33 | 407 / 13 |
Cellulitis W/O Mcc | 46 | 143 / 41 | $26.463,00 | 1960 / 99 | $4.760,54 | 570 / 4 | $3.948,02 | 567 / 24 |
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 41 | 125 / 38 | $17.538,00 | 1270 / 46 | $3.991,88 | 362 / 7 | $3.198,12 | 362 / 16 |
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 34 | 482 / 93 | $48.217,20 | 1720 / 57 | $11.006,50 | 1082 / 17 | $10.295,90 | 1069 / 31 |
Heart Failure & Shock W Mcc | 31 | 253 / 72 | $45.454,30 | 1860 / 78 | $8.290,39 | 401 / 8 | $7.560,06 | 401 / 9 |
Simple Pneumonia & Pleurisy W Mcc | 29 | 176 / 59 | $48.045,90 | 1847 / 79 | $8.586,55 | 1110 / 18 | $8.003,93 | 1110 / 49 |
Syncope & Collapse | 26 | 143 / 37 | $25.798,50 | 1256 / 64 | $4.142,65 | 172 / 2 | $3.119,88 | 171 / 4 |
Red Blood Cell Disorders W/O Mcc | 25 | 118 / 33 | $23.213,60 | 1137 / 53 | $4.527,48 | 256 / 3 | $3.705,72 | 256 / 8 |
Simple Pneumonia & Pleurisy W/O Cc/Mcc | 25 | 68 / 24 | $24.792,50 | 1442 / 71 | $5.830,48 | 340 / 76 | $3.085,12 | 338 / 16 |
Cardiac Arrhythmia & Conduction Disorders W Cc | 24 | 137 / 45 | $34.290,80 | 1785 / 89 | $5.672,71 | 1403 / 58 | $4.815,38 | 1398 / 73 |
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc | 24 | 126 / 31 | $17.545,30 | 1243 / 54 | $3.262,38 | 256 / 8 | $2.203,71 | 254 / 15 |
Acute Myocardial Infarction, Discharged Alive W Mcc | 23 | 102 / 27 | $56.486,60 | 1263 / 63 | $9.934,43 | 520 / 17 | $9.045,39 | 519 / 20 |
Renal Failure W Cc | 21 | 200 / 68 | $21.993,20 | 1177 / 40 | $5.386,00 | 290 / 3 | $4.526,57 | 288 / 13 |
Major Gastrointestinal Disorders & Peritoneal Infections W Cc | 16 | 57 / 24 | $25.673,80 | 506 / 24 | $6.384,25 | 179 / 4 | $5.854,25 | 179 / 11 |
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 16 | 104 / 38 | $24.094,90 | 1503 / 73 | $4.086,75 | 263 / 4 | $3.100,75 | 263 / 12 |
Hip & Femur Procedures Except Major Joint W Cc | 15 | 128 / 48 | $48.369,80 | 989 / 30 | $10.450,90 | 107 / 2 | $9.243,40 | 106 / 2 |
Medical Back Problems W/O Mcc | 14 | 107 / 44 | $23.898,00 | 774 / 36 | $4.761,79 | 137 / 4 | $3.639,50 | 137 / 4 |
Renal Failure W Mcc | 14 | 181 / 58 | $26.828,90 | 568 / 18 | $8.252,93 | 165 / 2 | $7.473,50 | 165 / 2 |
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc | 14 | 42 / 14 | $38.708,80 | 378 / 13 | $8.735,43 | 105 / 2 | $7.704,57 | 105 / 8 |
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs | 14 | 168 / 57 | $23.299,00 | 677 / 17 | $5.623,29 | 167 / 1 | $4.761,57 | 167 / 4 |
Respiratory System Diagnosis W Ventilator Support <96 Hours | 13 | 118 / 43 | $57.491,90 | 850 / 36 | $13.630,50 | 162 / 19 | $11.440,00 | 162 / 2 |
Heart Failure & Shock W/O Cc/Mcc | 13 | 97 / 42 | $18.589,50 | 1197 / 56 | $3.818,77 | 210 / 5 | $2.979,38 | 208 / 11 |
Cardiac Arrhythmia & Conduction Disorders W Mcc | 13 | 110 / 49 | $24.716,50 | 644 / 29 | $6.406,08 | 154 / 2 | $5.753,77 | 154 / 3 |
G.I. Hemorrhage W Cc | 13 | 205 / 68 | $33.059,10 | 1718 / 79 | $5.576,46 | 418 / 2 | $4.830,62 | 417 / 13 |
G.I. Obstruction W/O Cc/Mcc | 13 | 58 / 24 | $17.751,20 | 710 / 28 | $4.071,38 | 49 / 22 | $2.149,69 | 49 / 3 |
Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 13 | 175 / 50 | $31.891,20 | 607 / 24 | $5.798,23 | 80 / 1 | $4.685,62 | 80 / 2 |
Acute Myocardial Infarction, Discharged Alive W/O Cc/Mcc | 12 | 41 / 10 | $25.328,90 | 466 / 9 | $4.229,08 | 101 / 1 | $3.325,08 | 101 / 3 |
G.I. Obstruction W Cc | 11 | 81 / 38 | $24.565,20 | 965 / 37 | $5.166,00 | 520 / 12 | $4.505,64 | 519 / 26 |
Kidney & Urinary Tract Infections W Mcc | 11 | 133 / 46 | $29.890,00 | 1169 / 55 | $6.231,36 | 252 / 6 | $5.352,82 | 252 / 5 |
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc | 11 | 91 / 35 | $33.784,80 | 1211 / 64 | $7.745,91 | 27 / 64 | $2.762,09 | 27 / 1 | Total 36 procedures | 987 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.